Prior To The Team Evaluation:
Visit will be scheduled with Administrator 1 to 3 months in advance; Administrator will be invited attend the QA vendor training (quarterly) to review QA process
Evaluation time will be scheduled for 9:00AM - noon or 1:00PM - 4:00PM.
Team members will consist of 2 to 5 persons, including: SARC employees, vendors, consumers, parents, or other interested parties. If YOU would like volunteer as a team member for an evaluation, please contact one of the QA team staff!
Day of the Evaluation:
QA team arrives at the facility at the scheduled time
Tour of the facility
Break out into specific job assignments: (job assignments are subject to change depending on the # of team members available to complete the evaluation)
1. Administrator and Staff Interview
2. Consumer Records, P & I, and Consultation Hours (level 4 only)
3. Facility Observation (including Medication Review and Vehicle Inspection) and Collateral Contacts
4. Consumer Interview and Observation in the Facility (If a consumer is available)
5. Facility File and Personnel Records review.
Review initial findings with administrator, request assistance in locating missing documentation.
Criteria for Receiving A Certificate of Achievement
Must be able to demonstrate that consumers are benefitting from current living arrangement through IPP, collateral contacts, and consumer interview;
Facility documentation required by Title 17 must be current, complete, well organized, and information must be easy to access;
Facility plant must be clean and well maintained and the facility must have an adequate food supply;
Administrator and direct care staff must demonstrate knowledge of program services, consumer needs, and Title 17 regulation. In addition, all must know how to assist consumers with medication, demonstrate knowledge of required reporting such as Special Incidents and Consumer Abuse. Administrator and staff must be capable of responding to emergencies (medical & safety); and
the facility must have corrected and deficiencies within five business hours following the end of the Quality Assurance Team Evaluation.
Exit Interview: (may be waived if minimal recommendations and/or if missing documents can be faxed or delivered to Chairperson)
Scheduled within 5 business days following initial team evaluation (as schedule permits)
Facility liaison is invited to attend
Discuss team finding at evaluation, check off any completed recommendations from day of evaluation (corrected recommendations will show "corrected" on the final written report)
Schedule a 30 day follow -up visit if necessary
Final written report mailed to Administrator within 30 days of exit interview
30 Day follow-up visit:
Check off all outstanding recommendations
Issue a Corrective Action Plan for any recommendations that are still outstanding
For Technical Assistance or further information, please feel free to contact any member of the Quality Assurance Team:
Hazel Jordan
sahazel@sarc.org
(408) 341-3486
